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NEWPORT BEACH COMPREHENSIVE CARE MEDICAL GROUP, INC
NPI 1033305834
Internal Medicine in Newport Beach, CA

Active since September 15, 2007CLIA 05D0999074 · Waiver
355 PLACENTIA AVE, SUITE 102, NEWPORT BEACH, CA 92663(949) 574-1091(949) 574-1097 Get Directions Write a Review

NPPES record last updated: December 6, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Newport Beach Comprehensive Care Medical Group, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEWPORT BEACH COMPREHENSIVE CARE MEDICAL GROUP, INC (NPI 1033305834) is a healthcare organization registered as an internal medicine in Newport Beach, California and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through May 1, 2028 and lists James Daniel Fondren, Ceo, as its authorized official.

NPPES Registry Identity

NPI1033305834
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameNEWPORT BEACH COMPREHENSIVE CARE MEDICAL GROUP, INC
Location Address355 PLACENTIA AVE, SUITE 102Newport Beach, CA 92663-3311
Mailing Address3419 Via Lido, Pmb 349Newport Beach, CA 92663-3908 · (949) 574-1091 · Fax (949) 574-1097
Phone(949) 574-1091
Fax(949) 574-1097
Organization SubpartNo
Authorized OfficialJames Daniel FondrenCeo · (949) 574-1091
Enumeration DateSeptember 15, 2007
Last NPPES UpdateDecember 6, 2012
✔ NPI 1033305834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A60586
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
355 PLACENTIA AVE, Newport Beach, CA 92663
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Other Identifiers 1

Medicare UPING75962CA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Newport Beach Comprehensive Care Medical Group, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Newport Beach Comprehensive Care Medical Group, Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

James Fondren, M.D.
Internal Medicine
NPI 1598781213
355 PLACENTIA AVE SUITE 102
Newport Beach, CA 92663
(949) 574-1091
✔ PECOS✔ Accepts Medicare0.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0999074

Newport Beach Comprehensive Care Medical Group Inc. · Newport Beach, CA
Active · expires May 1, 2028
CLIA Number05D0999074
Laboratory TypePhysician Office
Certificate Effective DateMay 2, 2026
Certificate Expiration DateMay 1, 2028
Laboratory DirectorJames D. Fondren MD
Laboratory Phone(949) 574-1091
Laboratory LocationNewport Beach Comprehensive Care Medical Group Inc.355 Placentia Ave Ste 102, Newport Beach, CA 92663
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Newport Beach Comprehensive Care Medical Group, Inc's NPI number?

The NPI number for Newport Beach Comprehensive Care Medical Group, Inc is 1033305834. It was assigned to this organization in the NPPES registry on September 15, 2007.

Where is Newport Beach Comprehensive Care Medical Group, Inc located?

Newport Beach Comprehensive Care Medical Group, Inc is located at 355 Placentia Ave Suite 102, Newport Beach, CA 92663. The listed phone number is (949) 574-1091.

What is Newport Beach Comprehensive Care Medical Group, Inc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Newport Beach Comprehensive Care Medical Group, Inc enrolled in Medicare?

Yes. Newport Beach Comprehensive Care Medical Group, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Newport Beach Comprehensive Care Medical Group, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Newport Beach Comprehensive Care Medical Group, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Newport Beach Comprehensive Care Medical Group, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D0999074) is associated with this NPI, valid through May 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Newport Beach Comprehensive Care Medical Group, Inc was last updated on December 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.